Complete Guide to Understanding and Treating Hemorrhoids
Piles (also known as Hemorrhoids) are the swelling of blood vessels near the anal opening. They are described as a "common condition in both men and women," often found in adults between the ages of 20 and 50 years. The condition involves swollen and enlarged veins that form inside and outside of your anus and rectum.
Located inside the rectum, usually painless but may bleed.
Located under the skin around the anus, can be painful if thrombosed.
Chronic constipation or diarrhea can cause excessive straining, leading to swollen veins in the rectal area.
Lack of physical activity and prolonged sitting can increase pressure on the rectal veins.
Increased pressure from the growing uterus and hormonal changes can contribute to hemorrhoid development.
Excess weight puts additional pressure on the pelvic floor and rectal area.
Persistent coughing increases intra-abdominal pressure, which can affect rectal veins.
Internal hemorrhoids that bleed but do not prolapse. Usually painless and may not require treatment beyond lifestyle changes.
Hemorrhoids that prolapse during straining but return spontaneously. May require minimal intervention like rubber band ligation.
Hemorrhoids that prolapse during straining and require manual reduction. Often painful and may need surgical treatment.
Hemorrhoids that are permanently prolapsed and cannot be reduced. Require immediate surgical intervention.
The diagnosis of Piles (Hemorrhoids) is primarily based on a physician's physical examination and assessment of symptoms. To confirm the diagnosis and determine the exact grade, the following investigations are commonly used:
Blood clots can form in external hemorrhoids, causing severe pain and swelling that may require surgical intervention.
Prolapsed hemorrhoids can become trapped outside the anus, cutting off blood supply and causing tissue death.
Open wounds or ulcers can become infected, leading to abscesses or cellulitis that may spread systemically.
Chronic bleeding from hemorrhoids can lead to iron deficiency anemia, causing fatigue and weakness.
Chronic hemorrhoids can lead to the development of anal fissures due to increased pressure and trauma.
Fact: While more common in older adults, piles can affect people of any age, including young adults and even children.
Fact: Most piles can be managed with lifestyle changes, medications, and minimally invasive procedures. Surgery is typically reserved for severe cases.
Fact: Piles are not contagious and cannot be transmitted from person to person. They are caused by lifestyle and physiological factors.
Fact: Topical treatments provide symptom relief but don't cure piles. They must be combined with lifestyle changes for long-term management.
"I suffered from piles for years, too embarrassed to seek help. Laser treatment changed everything - painless, quick recovery, and I'm finally free from the constant discomfort!"
- Ravi K., 42 years old, Business Executive
"Post-pregnancy piles made every bowel movement painful. Conservative treatment and lifestyle changes helped me manage the condition without surgery."
- Meera S., 35 years old, Mother of Two
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Video: Understanding Piles - Grades, Symptoms & Modern Treatments
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In this comprehensive video, Dr. Jaya explains the different grades of piles, common misconceptions, and the latest treatment options including laser therapy and stapler surgery.
The treatment approach for Piles (Hemorrhoids) is directly related to the grade or severity of the condition.
Can be treated with medicines & conservative measures (like diet changes).
Note: Other non-allopathic methods should be discussed with a specialist.
Can be cured with Laser treatment.
Can be cured with Laser and Stapler Surgery.
Can be cured with Laser and Stapler Surgery.
Two advanced surgical techniques are highlighted as being preferred for treating Grade 2, Grade 3, and Grade 4 Piles:
Dr. Jaya's Interview
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Watch Dr. Jaya share insights on piles treatment and patient care philosophy.
In Piles Treatments
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Piles Hemorrhoids Illustration
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Detailed anatomical illustration showing hemorrhoid location and grades.
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